J11.83
J11.83: Influenza due to unidentified influenza virus with otitis media
Billable / specific codeICD-10-CM
J11.83 is a billable, specific ICD-10-CM code for influenza due to unidentified influenza virus with otitis media. It is valid for submission on a claim.
Check J11.83 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- code for any associated perforated tympanic membrane (H72.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Influenzal otitis media NOS
Other codes that can never be billed with J11.83
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J11.83 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Influenza›with›otitis media
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.